Individual
MIRANDA J COOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2100022126
MO
207Q00000X
Family Medicine Physician
Primary
48172
KY
Other
Enumeration date
08/19/2008
Last updated
04/13/2021
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